Sign Petition

Independent Nominating Petition-sec. 6-140

13 Signatures Goal: 100

I, the undersigned, do hereby state that I am a registered voter for the public office is hereby being made, that my present place of residence is truly stated opposite my signature, and that i do herby nominate the following named person as a candidate for election to public office to be voted for at the election to be heldon the 4th day of November, 2008 Name Of Candidate: Isaiah Matos Public Office: New York Congressional District 14 Representative Place of Residence: ___________________________ ___________________________ I,_________________________state: I am a duly qualified voter of the state of New York, and I am also duly qualified to sign the petition. I now reside at________________________________________. Each of the individuals whose names are suscribed to this petition sheet containing_____ signatures, suscribed the same on the dates above indicated and identified themselve as the individual signed. I understand that this statement will be accepted for all purposes as the equivalent of an affadavit and shall subject me to the same penalties as if I had been duly sworn. ______________ ___________________________ Date Signature _______________ _____________________________ Town/city County PLEASE READ!!!! YOU HAVE TO BE A REGISTERED VOTER, AND INCLUDE YOUR ADDRESS AND COUNTY IN THE NOTES AREA, OR YOUR DIGITAL SIGNATURE IS OF NO VALUE ACCORDING TO NEW YORK STATE LAW. THANK YOU FOR THE SUPPORT, AND PLEASE DO NOT USE THE \"ANONYMOUS\" OPTION

Sponsor

I,_________________________state: I am a duly qualified voter of the state of New York, and I am also duly qualified to sign the petition. I now reside at________________________________________. Each of the individuals whose names are suscribed to this petition sheet containing_____ signatures, suscribed the same on the dates above indicated and identified themselve as the individual signed. I understand that this statement will be accepted for all purposes as the equivalent of an affadavit and shall subject me to the same penalties as if I had been duly sworn. ______________ ___________________________ Date Signature _______________ _____________________________ Town/city County

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Comment

12

Signatures

  • 7 years ago
    Jaclyn Miccio United States
    7 years ago
  • 7 years ago
    Victoria Pacheco United States
    7 years ago
  • 7 years ago
    Melisa Alvarez United States
    7 years ago
  • 7 years ago
    Robert Chavez United States
    7 years ago
  • 7 years ago
    Carmin United States
    7 years ago
  • 7 years ago
    Amanda Alers United States
    7 years ago
  • 7 years ago
    Jeffrey M. LeStyne United States
    7 years ago
  • 7 years ago
    DEVINDRA PAUL United States
    7 years ago
  • 7 years ago
    Awilda Acosta United States
    7 years ago
  • 7 years ago
    Jose Anthony Roman United States
    7 years ago
  • 7 years ago
    Amanda Swallow United States
    7 years ago
  • 7 years ago
    REY CORTEZ United States
    7 years ago